Research Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland.
Research Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland; Health Care and Social Services, Vaasa University of Applied Sciences, Vaasa, Finland.
Nurse Educ Pract. 2024 Oct;80:104129. doi: 10.1016/j.nepr.2024.104129. Epub 2024 Sep 13.
To investigate the factors that influence the integration of CALD nurses and nursing students into the healthcare system and to explore their perception of integration.
In many countries, strengthening the nursing workforce requires a ramping up of international recruitment. Culturally and linguistically diverse (CALD) nurses and nursing students experience significant challenges when integrating into new healthcare systems.
Data for this cross-sectional observational study were collected electronically from CALD nurses (n = 15) and from nursing students (n = 87).
Three new instruments were developed and used to measure nurses' own role at work, cultural and linguistic diversity at work, and the professional competence development. Likert scale from 1 to 4 was used to evaluate the agreement rate. The study data were analysed using K-means cluster analysis to determine the integration profiles.
Three integration profiles (A, B, and C) were identified based on the participants' self-assessed perceptions of integration. Perceptions of each profile ranged from low (≤2.49) to high (≥3.50), with most being intermediate (2.50-3.49). Further, the perceptions of integration were lowest in Profile A and highest in Profile C. The profiles differed statistically significantly in all other measured integration areas, except CALD nurses' language skills and in the nurses' ability to develop their skills. Individuals educated in Finland, who have clinical practice experience and assessed their language proficiency at least at an intermediate level, demonstrated better performance, a deeper understanding of the nurse's role in healthcare, greater confidence in their skills, and fewer experiences of discrimination.
Integration is weakest among those with lower language skills and who completed their education outside of Finland. Healthcare organisations should develop integration models and mentoring programmes informed by new insights to support the integration of CALD nurses into the healthcare system. These models and programmes could help CALD nurses and nursing students to better understand their roles in healthcare.
调查影响文化和语言多样化（CALD）护士和护理学生融入医疗保健系统的因素，并探讨他们对融入的看法。
在许多国家，加强护理人员队伍需要增加国际招聘。文化和语言多样化（CALD）护士和护理学生在融入新的医疗保健系统时面临重大挑战。
这项横断面观察性研究的数据是通过电子方式从 CALD 护士（n=15）和护理学生（n=87）收集的。
开发了三个新工具，用于衡量护士在工作中的角色、工作中的文化和语言多样性以及专业能力发展。使用 1 到 4 的李克特量表来评估同意率。使用 K-均值聚类分析对研究数据进行分析，以确定整合概况。
根据参与者对融入的自我评估感知，确定了三个整合概况（A、B 和 C）。对每个概况的感知范围从低（≤2.49）到高（≥3.50），大多数处于中等水平（2.50-3.49）。此外，在概况 A 中，对融入的感知最低，在概况 C 中最高。除了 CALD 护士的语言技能和护士发展技能的能力外，在所有其他测量的融入领域，这三个概况在统计学上存在显著差异。在芬兰接受教育、有临床实践经验并评估其语言水平至少为中级的个人，表现更好，对护士在医疗保健中的角色有更深入的了解，对自己的技能更有信心，并且较少经历歧视。
语言技能较低且在芬兰以外完成教育的人融合程度最低。医疗保健组织应根据新的见解制定整合模式和指导计划，以支持 CALD 护士融入医疗保健系统。这些模式和计划可以帮助 CALD 护士和护理学生更好地了解他们在医疗保健中的角色。
